Brovana (Arformoterol tartrate)
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Arformoterol tartrate Information
(ar'' for moe' ter ol)In a large clinical study, more people who used an asthma medication similar to arformoterol experienced more severe episodes of asthma that needed to be treated in a hospital or caused death than patients who did not use the medication. Use of arformoterol inhalation may increase the risk of serious asthma problems or death in people who have asthma. Arformoterol has not been approved by the Food and Drug Administration (FDA) to treat asthma. There is not enough information to tell whether arformoterol increases the risk of death in people who have chronic obstructive pulmonary disease (COPD; a group of lung diseases, which includes chronic bronchitis and emphysema). Talk to your doctor about the risks of using arformoterol inhalation.
- Open the foil pouch by tearing through the rough edge along the edge of the pouch and remove the vial. Look at the solution in the vial to be sure it is colorless. If it is not colorless, call your doctor or pharmacist and do not use the solution.
- Twist off the top of the vial and squeeze all of the liquid into the reservoir of your nebulizer. Do not add any other medications to the nebulizer because it may not be safe to mix them with arformoterol. Use all nebulized medications separately unless your doctor specifically tells you to mix them.
- Connect the nebulizer reservoir to your mouthpiece or facemask.
- Connect the nebulizer to the compressor.
- Sit upright and place the mouthpiece in your mouth or put on the facemask.
- Turn on the compressor.
- Breathe calmly, deeply, and evenly until mist stops forming in the nebulizer. This should take between 5 and 10 minutes.
- Clean the nebulizer according to the manufacturer's instructions.
Before using arformoterol inhalation,
- tell your doctor and pharmacist if you are allergic to arformoterol, formoterol (Foradil, in Symbicort), or any other medications.
- tell your doctor if you use another LABA such as formoterol (Foradil, in Symbicort) or salmeterol (in Advair, Serevent). These medications should not be used with arformoterol. Your doctor will tell you which medication you should use and which medication you should stop using.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: aminophylline (Truphylline); amiodarone (Cordarone); antidepressants such as amitriptyline (Elavil), amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), and trimipramine (Surmontil); beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Inderal), and sotalol (Betapace, Betapace AF); cisapride (Propulsid) (not available in the United States); diet pills; disopyramide (Norpace); diuretics ('water pills'); dofetilide (Tikosyn); dyphylline (Dilor, Lufyllin); erythromycin (E.E.S., E-Mycin, Erythrocin); medications for asthma or colds; monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil) selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate); moxifloxacin (Avelox); oral steroids such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), and prednisone (Deltasone); pimozide (Orap); procainamide (Procanbid, Pronestyl); quinidine (Quinidex); theophylline (Theo-Chron, Theolair); and thioridazine (Mellaril). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- tell your doctor if you have or have ever had an irregular heartbeat; high blood pressure; seizures; diabetes; or heart, liver, or thyroid disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using arformoterol, call your doctor.
- you should know that arformoterol inhalation sometimes causes wheezing and difficulty breathing immediately after it is inhaled. If this happens, call your doctor right away. Do not use arformoterol inhalation again unless your doctor tells you that you should.
- uncontrollable shaking of a part of the body
- difficulty falling asleep or staying asleep
- pain, especially back pain
- leg cramps
- fast or pounding heartbeat
- chest pain
- swelling of the eyes, face, tongue, lips, mouth, hands, feet, ankles, or lower legs
- increased difficulty breathing or swallowing